ANNAPOLIS PEDIATRICS
NPI 1154451094
Pediatrics in Annapolis, MD

Active since March 07, 2007CLIA Certified · 5 labs
200 FORBES ST, SUITE 200, ANNAPOLIS, MD 21401(410) 263-6363(410) 263-4086 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Annapolis Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNAPOLIS PEDIATRICS (NPI 1154451094) is a healthcare organization registered as a pediatrics in Annapolis, Maryland and active in the NPI registry since March 2007. The organization holds 5 active CLIA laboratory certificates and lists Dwight Norbert Fortier, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1154451094
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameANNAPOLIS PEDIATRICS PA
Location Address200 FORBES ST, SUITE 200Annapolis, MD 21401-1538
Mailing Address200 Forbes St, Suite 200Annapolis, MD 21401-1538 · (410) 263-6363 · Fax (410) 263-4086
Fax(410) 263-4086
Organization SubpartNo
Authorized OfficialDwight Norbert FortierManaging Partner · (410) 263-6363
Enumeration DateMarch 7, 2007
Last NPPES UpdateJune 13, 2008
NPI 1154451094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MD · D0008188
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
200 FORBES ST, Annapolis, MD 21401

Other Names 1

Doing Business AsAnnapolis Pediatrics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0219876

Annapolis Pediatrics At Annapolis · Annapolis, MD
Active · expires Aug 31, 2026
CLIA Number21D0219876
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKatherine M. Edwards
Laboratory Phone(410) 263-6363
Laboratory LocationAnnapolis Pediatrics At Annapolis200 Forbes Street, Annapolis, MD 21401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2263017

Annapolis Pediatrics- Pasadena · Pasadena, MD
Active · expires Jun 21, 2028
CLIA Number21D2263017
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorJames W. Rice
Laboratory Phone(410) 263-6363
Laboratory LocationAnnapolis Pediatrics- Pasadena18 Magothy Beach Road Suite C, Pasadena, MD 21122
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D1039182

Annapolis Pediatrics · Severna Park, MD
Active · expires Aug 21, 2027
CLIA Number21D1039182
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2025
Certificate Expiration DateAugust 21, 2027
Laboratory DirectorKatherine Edwards
Laboratory Phone(410) 263-6363
Laboratory LocationAnnapolis Pediatrics877 Baltimore Annapolis Blvd Ste 208, Severna Park, MD 21146
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2112275

Annapolis Pediatrics - Edgewater · Edgewater, MD
Active · expires Apr 5, 2027
CLIA Number21D2112275
Laboratory TypePhysician Office
Certificate Effective DateApril 6, 2025
Certificate Expiration DateApril 5, 2027
Laboratory DirectorKatherine Edwards
Laboratory Phone(410) 263-6363
Laboratory LocationAnnapolis Pediatrics - Edgewater3158 Braverton Street Suite 110, Edgewater, MD 21037
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D0214058

Annapolis Pediatrics At Crofton · Crofton, MD
Active · expires Feb 9, 2027
CLIA Number21D0214058
Laboratory TypePhysician Office
Certificate Effective DateFebruary 10, 2025
Certificate Expiration DateFebruary 9, 2027
Laboratory DirectorKatherine Edwards
Laboratory Phone(410) 263-6363
Laboratory LocationAnnapolis Pediatrics At Crofton1655 Crofton Blvd Suite 301, Crofton, MD 21114
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
200 FORBES ST, SUITE 301
ANNAPOLIS, MD 21401
Pediatrics
200 FORBES ST
ANNAPOLIS, MD 21401
Registered Nurse (Pediatrics)
200 FORBES ST, SUITE 200
ANNAPOLIS, MD 21401
Nurse Practitioner (Pediatrics)
200 FORBES ST, SUITE 200
ANNAPOLIS, MD 21401
Nurse Practitioner (Pediatrics)
200 FORBES ST, SUITE 200
ANNAPOLIS, MD 21401
Pediatrics
200 FORBES ST, SUITE 200
ANNAPOLIS, MD 21401
Pediatrics
200 FORBES ST, SUITE 200
ANNAPOLIS, MD 21401
Nurse Practitioner (Pediatrics)
200 FORBES ST, SUITE 200
ANNAPOLIS, MD 21401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annapolis Pediatrics PA's NPI number?

The NPI number for Annapolis Pediatrics PA is 1154451094. It was assigned to this organization in the NPPES registry on March 7, 2007. The provider is doing business as Annapolis Pediatrics.

Where is Annapolis Pediatrics PA located?

Annapolis Pediatrics PA is located at 200 Forbes St Suite 200, Annapolis, MD 21401. The listed phone number is (410) 263-6363.

What is Annapolis Pediatrics PA's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Annapolis Pediatrics PA hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Annapolis Pediatrics PA was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.